HOMEWORK

Your Synthesis Project for Physician's Oaths is due TUES 9/26! Choose one of the three options to complete your project. Brief instructions are below as well as a copy of the assignment, the rubrics and copies of all the different Physician's Oaths

1. The Declaration of Geneva, as currently published by the World Medical Association[6] reads:At the time of being admitted as a member of the medical profession:

I solemnly pledge to consecrate my life to the service of humanity;

I will give to my teachers the respect and gratitude that is their due;

I will practice my profession with conscience and dignity;

The health of my patient will be my first consideration;

I will respect the secrets that are confided in me, even after the patient has died;

I will maintain by all the means in my power, the honour and the noble traditions of the medical profession;

My colleagues will be my sisters and brothers;

I will not permit considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient;

I will maintain the utmost respect for human life;

I will not use my medical knowledge to violate human rights and civil liberties, even under threat;

I make these promises solemnly, freely and upon my honor

Hippocratic Oath (Modern)I swear to fulfill, to the best of my ability and judgment, this covenant:...I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.I will apply, for the benefit of the sick, all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism.I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. Above all, I must not play at God.I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.I will prevent disease whenever I can, for prevention is preferable to cure.I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

2. Solemn Oath of a Physician of Russia [1992] In the presence of my Teachers and colleagues in the great science of doctoring, accepting with deep gratitude the rights of a physician granted to me I SOLEMNLY PROMISE:• to regard him who has taught me the art of doctoring as equal to my parents and to help him in his affairs and if he is in need;• to impart any precepts, oral instruction, and all other learning to my pupils who are bound by the obligation of medical law but to no one else;• I will conduct my life and my art purely and chastely, being charitable and not causing people harm;• I will never deny medical assistance to anyone and will render it with equal diligence and patience to a patient of any means, nationality, religion, and conviction;• no matter what house I may enter, I will go there for the benefit of the patient, remaining free of all intentional injustice and mischief, especially sexual relations;• to prescribe dietetic measures and medical treatment for the patient’s benefit according to my abilities and judgment, refraining from causing them any harm or injustice;• I will never use my knowledge and skill to the detriment of anyone’s health, even my enemy’s;• I will never give anyone a fatal drug if asked nor show ways to carry out such intentions;• whatever I may see and hear during treatment or outside of treatment concerning a person’s life, which should not be divulged, I will keep to myself, regarding such matters as secret;• I promise to continue my study of the art of doctoring and do everything in my power to promote its advancement, reporting all my discoveries to the scientific world;• I promise not to engage in the manufacture or sale of secret remedies;• I promise to be just to my fellow doctors and not to insult their persons; however, if it is required for the benefit of a patient, I will speak the truth openly and impartially;• in important cases I promise to seek the advice of doctors who are more versed and experienced than I; when I myself am summoned for consultation, I will acknowledge their merit and efforts according to my conscience. If I fulfill this Oath without violating it, let me be given happiness in my life and art. If I transgress it and give a false Oath, let the opposite be my lot.

3. The American Medical Association (AMA)The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. As a member of this profession, a physician must recognize responsibility to patients first and foremost, as well as to society, to other health professionals, and to self. The following Principles adopted by the American Medical Association are not laws, but standards of conduct which define the essentials of honorable behavior for the physician.Principles of medical ethicsI. A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights.II. A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities.III. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient.IV. A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the law.V. A physician shall continue to study, apply, and advance scientific knowledge, maintain a commitment to medical education, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated.VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care.VII. A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health.VIII. A physician shall, while caring for a patient, regard responsibility to the patient as paramount.IX. A physician shall support access to medical care for all people.

The Nuremburg Code

Required is the voluntary, well-informed, understanding consent of the human subject in a full legal capacity.

The experiment should aim at positive results for society that cannot be procured in some other way.

It should be based on previous knowledge (like, an expectation derived from animal experiments) that justifies the experiment.

The experiment should be set up in a way that avoids unnecessary physical and mental suffering and injuries.

It should not be conducted when there is any reason to believe that it implies a risk of death or disabling injury.

The risks of the experiment should be in proportion to (that is, not exceed) the expected humanitarian benefits.

Preparations and facilities must be provided that adequately protect the subjects against the experiment’s risks.

The staff who conduct or take part in the experiment must be fully trained and scientifically qualified.

The human subjects must be free to immediately quit the experiment at any point when they feel physically or mentally unable to go on.

Likewise, the medical staff must stop the experiment at any point when they observe that continuation would be dangerous.

Complete your quote rumination paragraph! ALL quotes from today’s class and the assignment are available below.

Don’t forget to sign up for REMIND! Use the class code from today's class, OR click the "Student/Parent Resources" tab on this website to get access to your REMIND code.

** There will be a Materials Quiz on Tuesday 9/12. Make sure you have everything you need for this class (HINT: Check the syllabus to see what supplies you should have)

Quotes:

"Doctors have an ethical duty to follow the practices and standards of care." –Bob McDonnell

"As a medical doctor, it is my duty to evaluate the situation with as much data as I can gather and as much expertise as I have and as much experience as I have to determine whether or not the wish of the patient is medically justified." –Jack Kevorkian

"The purpose of a doctor or any human in general should not be to simply delay the death of the patient, but to increase the person's quality of life." –Patch Adams​

"Sometimes the only choices you have are bad ones, but you still have to choose." –Doctor Who

"Whenever a doctor cannot do good, he must be kept from doing harm." –Hippocrates

"The purpose of medicine is to prevent significant disease, to decrease pain, and to postpone death…technology has to support these goals—if not, it may even be counterproductive." –Dr. Joel J. Nobel

“We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do.” –Atul Gawande

"The purpose of science is to develop, without prejudice or preconceptions of any kind, a knowledge of the facts, the laws, and the processes of nature" –Robert A Millikan

"Medicine is not only a science; it is also an art. It does not consist of compounding pills and plasters; it deals with the very processes of life, which must be understood before they may be guided." –Paracelus

"Ethics is knowing the difference between what you have a right to do and what is right to do” -Potter Stewart (Supreme Court Justice of the United States)

“Science is concerned wholly with truth, not with ethics”- Arthur Keith (Scottish anthropologist)

"The current health care system is neither healthy, caring, nor a system" –Walter Cronkite